| NPI | 1689030330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906834) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL CL1189677) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2025-01-27 |